CORDIA MARIE CLARK-WHITE MD
NPI 1861676538
Obstetrics & Gynecology in Chicago, IL

Active since December 18, 2007PECOS Enrolled
1645 W JACKSON BLVD STE 310, CHICAGO, IL 60612(312) 942-8060(312) 942-8222 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2021, Jun 29, 2016 (2 updates tracked since 2016).

About Cordia Marie Clark-white Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORDIA MARIE CLARK-WHITE MD (NPI 1861676538) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036-119447) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1861676538
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCORDIA MARIE CLARK-WHITECredential: MD
Location Address1645 W JACKSON BLVD STE 310Chicago, IL 60612-3227
Mailing Address3473 S King Dr # 472Chicago, IL 60616-4108 · (708) 207-3639
Fax(312) 942-8222
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2003
Enumeration DateDecember 18, 2007
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1861676538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036-119447
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1645 W JACKSON BLVD STE 310, Chicago, IL 60612

Other Names 1

Former Name (1)Cordia Marie White

Secondary Practice Location 1

Location 12600 S Michigan Ave Ste 305Chicago, IL 60616-2857 · Phone (312) 326-1792

Other Identifiers 2

Medicaid036119447IL
Other1619478IL · Blue Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cordia Marie Clark-white Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466536214
PECOS Enrollment IDI20080303000711
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1645 W JACKSON BLVD STE 310
CHICAGO, IL 60612
Obstetrics & Gynecology
1645 W JACKSON BLVD STE 310
CHICAGO, IL 60612
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1645 W JACKSON BLVD STE 310
CHICAGO, IL 60612
Obstetrics & Gynecology
1645 W JACKSON BLVD STE 310
CHICAGO, IL 60612
Registered Nurse (Women's Health Care, Ambulatory)
1645 W JACKSON BLVD STE 310
CHICAGO, IL 60612
Podiatrist
1645 W JACKSON BLVD STE 310
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cordia Clark-white's NPI number?

The NPI number for Cordia Clark-white is 1861676538. It was assigned to this individual provider in the NPPES registry on December 18, 2007. The provider is also known as Cordia Marie White.

Where is Cordia Clark-white located?

Cordia Clark-white practices at 1645 W Jackson Blvd Ste 310, Chicago, IL 60612. The listed phone number is (312) 942-8060.

What is Cordia Clark-white's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cordia Clark-white enrolled in Medicare?

Yes. Cordia Clark-white is registered in the Medicare PECOS enrollment system.

What insurance does Cordia Clark-white accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Cordia Clark-white as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cordia Clark-white affiliated with any hospitals?

According to CMS data, Cordia Clark-white is affiliated with Rush University Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Cordia Clark-white was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.